	<form class="il_Form" name="cmd" method="post" action="{FORMACTION}">
	  <table class="fullwidth" >
		  <tr class="std">
			<th class="std" colspan="3">
			  <div style="float:left;">{TXT_EMAIL_ROLE_ASSIGN}</div>
			</th>
		  </tr>
		  <tr class="tblheader">
			<th class="std"></th>
			<th class="std" nowrap="nowrap">{TXT_DOMAIN}&nbsp;&nbsp;&nbsp;</th>
			<th class="std">{TXT_ROLE}</th>
		  </tr>
		  <!-- BEGIN roles -->
		  <tr>
			<td class="{CSSROW}" width="1%">
			  {CHECK_ROLE}
			</td>
			<td class="{CSSROW}" width="10%">
			  <input type="text" name="domain[{ASSIGN_ID}][domain]" value="{DOMAIN}" size="32" maxlength="127" />
			</td>
			<td class="{CSSROW}">
			  <div style="float:left;">
				{ROLE_SEL}
			  </div>
			</td>
		  </tr>
		  <!-- END roles -->
		  <tr>
			<td class="{DEF_CSSROW}" width="1%">
			</td>
			<td class="{DEF_CSSROW}" width="10%">
			  {TXT_DEFAULT}
			</td>
			<td class="{DEF_CSSROW}">
			  <div style="float:left;">
				{DEF_ROLE}
			  </div>
			</td>
		  </tr>
		  <tr>
			<td class="submit" colspan="3">
			  <div style="float:left;">
				<img border="0" src="{ARR_DOWNRIGHT}" alt="{ACTIONS}" />
				<input type="submit" class="submit" name="cmd[deleteAssignment]" value="{BTN_DELETE}" />
			  </div>
			  <div style="text-align:right;">
				<input type="submit" class="submit" name="cmd[saveAssignment]" value="{BTN_SAVE}" />
				<input type="submit" class="submit" name="cmd[addAssignment]" value="{BTN_ADD}" />
				<input type="submit" class="submit" name="cmd[view]" value="{BTN_CANCEL}" />
			  </div>
			</td>
		  </tr>
	  </table>